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Persistent Pregnancy Tests After Miscarriage & DNC: Understanding Hormone Levels


Question
Can you please explain how the pregnancy harmone levels are still high enough to produce a postive pregnancy test 4 to 8 weeks after a misscarriage and DNC.

I had a DNC done the 8th of Aug and had sex right after...I was experiencing all the effects of being pregnat again so on the 20 th of September I had a blood pregnancy test done and it came back positive. I told my boyfriend and we planned on having a child. This morning I went into the ER with bleeding and passing blood clots and they informed me there was a chance I was never pregnant. My harmonal level went from a 523 to a 0. Please explain this to me and my boyfriend to save the fight of I lied to him.

Answer
Brandi,

I am not in any way medically qualified to answer this question. I can tell you that a false positive is very very rare, so as you had a blood pregnancy test, and you measured at 523, then you had pregnancy hormones in your system regardless of whether or not you were pregnant. However, it seems to me like you have had a natural miscarriage.

There is a small chance that the hormones in your system could be from the first pregnancy. Did you get any histology results after the D&C? If not then I would be inclined to think they were classed as normal and therefore this second result is likely to be a second pregnancy. However, there is a slight chance that you had some placenta left in your uterus, this would cause a positive pregnancy test, or even more uncommon you had a molar pregnancy. This can also result in hCG hormone in your system long after the D&C. The hisology report will be able to tell you if this is the case.

Have you been experiencing any pain or discomfort since the D&C? Pain that has got incresingly worse, or become unbearable? This would be an indication that the D&C wasnt complete, and therefore result in a positive pregnancy test. If you did have pain I would ask for an ultrasound scan to check that everything is now clear.

Sometimes there is just no answers. If your partner thinks you have lied to him, and it may result in a fight, is this really the type of person you want to be having a baby with. Miscarriage is difficult enough to go through, physically and emotionally, and it should not be made worse by a distrusting partner. All you can offer him is the facts, a positive blood test for the pregnancy hormone hCG, and less than 2 weeks later a negative result and lots of bleeding. That to me says natural miscarriage, Im very sorry. None of that reads lier or lack of pregnancy.

I think maybe you should give your body at least a short while to recover the option and second miscarriage before trying again. I think you should also iron any trust issues your relationship has before you bring a baby into the world.

Kind regards,

Christine.